HealthiNomad Premium Index

    International Health Insurance Cost Index (September 2026)

    In September 2026, international health insurance for a 32-year-old expat cost a median of £247 a month across 176 countries, from £208 in Chad to £545 in Hong Kong. Figures are indicative, from real quotes by 14 international insurers taken 2026-09-24. They cover inpatient and outpatient care on a mid-level plan, worldwide excluding the USA. Your age, medical history, plan and deductible change the price.

    Want a country breakdown? Find your country in the table below or open its cost guide.

    £247

    Median a month

    across 176 countries

    £545

    Hong Kong

    most expensive

    £208

    Chad

    least expensive

    14

    Insurers quoted

    quotes taken 2026-09-24

    Median monthly premium by region, expat and nomad hubs, age 32
    East Asia
    £307
    Americas
    £295
    South Asia and Middle East
    £279
    Europe
    £259
    Southeast Asia
    £247
    Oceania and Africa
    £223

    Expat and nomad hubs by region

    Indicative monthly premium at age 32. Typical is the 25th to 75th percentile of the insurer quotes.

    Southeast Asia: median £247 a month
    CountryTypicalMedianCheapestPlans quoted
    Thailand£219 to £324£275£16115
    Vietnam£198 to £291£247£16413
    Malaysia£198 to £288£247£11815
    Indonesia£198 to £321£269£15713
    Philippines£201 to £277£244£13513
    Cambodia£219 to £288£247£18113
    Singapore£336 to £596£428£18113
    East Asia: median £307 a month
    CountryTypicalMedianCheapestPlans quoted
    Hong Kong£478 to £609£545£18113
    Japan£251 to £398£291£18113
    South Korea£247 to £453£307£18112
    Taiwan£244 to £324£283£16412
    China£276 to £596£439£18112
    South Asia and Middle East: median £279 a month
    CountryTypicalMedianCheapestPlans quoted
    India£198 to £277£249£14514
    UAE£279 to £463£368£14413
    Qatar£247 to £416£281£18112
    Saudi Arabia£247 to £467£279£18111
    Turkey£240 to £321£271£18113
    Europe: median £259 a month
    CountryTypicalMedianCheapestPlans quoted
    Portugal£181 to £335£259£15614
    Spain£215 to £321£275£16413
    France£181 to £312£259£13514
    Germany£181 to £339£259£12114
    Italy£181 to £335£259£15714
    Greece£215 to £321£271£15713
    Croatia£181 to £276£237£11814
    Netherlands£215 to £285£247£10213
    Switzerland£241 to £493£247£17511
    United Kingdom£225 to £488£312£18112
    Ireland£215 to £312£271£13711
    Americas: median £295 a month
    CountryTypicalMedianCheapestPlans quoted
    Mexico£291 to £512£336£18112
    Colombia£229 to £315£278£18112
    Costa Rica£241 to £334£263£18112
    Brazil£275 to £512£343£15613
    Argentina£208 to £317£295£15612
    Panama£241 to £334£263£18112
    Canada£279 to £463£326£1599
    Oceania and Africa: median £223 a month
    CountryTypicalMedianCheapestPlans quoted
    Australia£212 to £463£330£16314
    New Zealand£243 to £423£339£16313
    South Africa£198 to £279£212£13813
    Kenya£198 to £279£212£13013
    Egypt£208 to £251£223£11013

    Most and least expensive countries

    Countries with at least 10 insurer quotes. The bar shows the typical range, the dot the median.

    Most expensive 10

    typical range median

    Hong Kong
    £545
    China
    £439
    Singapore
    £428
    UAE
    £368
    Brazil
    £343
    New Zealand
    £339
    Mexico
    £336
    Australia
    £330
    Haiti
    £321
    Honduras
    £316
    Least expensive 10

    typical range median

    Chad
    £208
    Tanzania
    £210
    Algeria
    £212
    Angola
    £212
    Benin
    £212
    Botswana
    £212
    Cameroon
    £212
    Djibouti
    £212
    Eritrea
    £212
    Ethiopia
    £212

    All 176 countries

    The full index, cheapest median first. Indicative monthly premium at age 32 in GBP, quotes taken 2026-09-24.

    Show all 176 countries
    HealthiNomad Premium Index, all countries, 2026-09-24
    CountryTypicalMedianCheapestPlans quoted
    Eswatini£198 to £212£205£1814
    Chad£185 to £248£208£14512
    Tanzania£198 to £223£210£13512
    Côte d'Ivoire£198 to £251£211£1818
    Algeria£198 to £251£212£13513
    Angola£185 to £248£212£13513
    Benin£185 to £251£212£14513
    Botswana£185 to £251£212£14513
    Cameroon£185 to £251£212£14513
    Djibouti£185 to £251£212£14513
    Eritrea£198 to £248£212£16611
    Ethiopia£185 to £251£212£13513
    Gambia£185 to £251£212£14513
    Guinea£185 to £251£212£14513
    Guinea-Bissau£185 to £251£212£14511
    Kenya£198 to £279£212£13013
    Madagascar£185 to £251£212£14513
    Mali£185 to £251£212£13513
    South Africa£198 to £279£212£13813
    Togo£185 to £251£212£14513
    Mozambique£198 to £248£213£16612
    Kosovo£181 to £263£216£1198
    Ghana£198 to £248£217£16612
    Nigeria£206 to £248£217£18112
    Gabon£185 to £248£218£16312
    Lesotho£185 to £248£218£16312
    Liberia£198 to £251£218£16612
    Malawi£198 to £251£218£16612
    Morocco£208 to £251£218£16612
    Seychelles£198 to £279£218£16612
    Sierra Leone£198 to £251£218£16612
    Tunisia£208 to £251£218£16612
    Uganda£198 to £251£218£16612
    Zambia£198 to £251£218£16612
    Brunei£204 to £276£219£14511
    Burkina Faso£185 to £251£223£16313
    Burundi£185 to £251£223£16313
    Czechia£181 to £285£223£11813
    Egypt£208 to £251£223£11013
    Equatorial Guinea£185 to £251£223£16313
    Namibia£185 to £251£223£16313
    Niger£185 to £251£223£16313
    Rwanda£185 to £251£223£16313
    Senegal£185 to £251£223£16313
    Zimbabwe£198 to £300£223£16611
    Central African Republic£185 to £251£227£16312
    Mauritania£185 to £251£230£14512
    Mauritius£198 to £251£230£16612
    Poland£181 to £276£234£11114
    Romania£181 to £276£234£11814
    Slovakia£181 to £276£234£11914
    South Sudan£185 to £300£236£1816
    Somalia£185 to £300£236£16610
    Sudan£185 to £300£236£16610
    Croatia£181 to £276£237£11814
    Slovenia£181 to £276£237£11914
    Congo£181 to £300£241£1812
    Belarus£181 to £277£244£16310
    Bhutan£212 to £251£244£16312
    Bulgaria£181 to £285£244£12214
    Hungary£181 to £285£244£11914
    Maldives£223 to £324£244£16313
    Myanmar£219 to £324£244£1819
    Nepal£219 to £288£244£16313
    Pakistan£215 to £288£244£18112
    Philippines£201 to £277£244£13513
    Sri Lanka£211 to £288£244£16413
    Ukraine£181 to £285£244£16310
    Bangladesh£241 to £288£246£18112
    Laos£198 to £276£246£16310
    Libya£198 to £279£246£16312
    Mongolia£241 to £288£246£18112
    Solomon Islands£243 to £319£246£16312
    Azerbaijan£198 to £277£247£14513
    Cambodia£219 to £288£247£18113
    Estonia£181 to £285£247£12014
    Kazakhstan£198 to £288£247£14513
    Kyrgyzstan£198 to £288£247£16312
    Latvia£181 to £285£247£12014
    Lithuania£181 to £285£247£12014
    Malaysia£198 to £288£247£11815
    Moldova£185 to £277£247£16312
    Netherlands£215 to £285£247£10213
    Norway£215 to £285£247£10213
    Switzerland£241 to £493£247£17511
    Tajikistan£198 to £288£247£16313
    Turkmenistan£198 to £288£247£16313
    Uzbekistan£198 to £288£247£16313
    Vietnam£198 to £291£247£16413
    Yemen£241 to £373£247£18111
    Afghanistan£204 to £288£248£14512
    Papua New Guinea£212 to £324£248£14512
    Timor-Leste£244 to £288£248£1818
    Austria£181 to £339£249£12114
    Belgium£181 to £312£249£12814
    Denmark£181 to £285£249£11914
    Finland£181 to £339£249£12014
    Iceland£181 to £285£249£11914
    India£198 to £277£249£14514
    Luxembourg£181 to £285£249£11914
    Sweden£181 to £285£249£11914
    Vanuatu£243 to £324£249£16312
    Lebanon£240 to £353£250£18112
    Albania£185 to £276£251£11913
    Armenia£219 to £285£251£16313
    Fiji£243 to £343£251£16313
    Georgia£219 to £285£251£16313
    Montenegro£185 to £285£251£16313
    Serbia£185 to £285£251£16313
    DR Congo£212 to £300£256£1814
    Jordan£240 to £353£256£18112
    Macedonia£185 to £271£257£1816
    Oman£247 to £373£257£18112
    France£181 to £312£259£13514
    Germany£181 to £339£259£12114
    Italy£181 to £335£259£15714
    Portugal£181 to £335£259£15614
    Bosnia and Herzegovina£181 to £276£261£1196
    Iran£240 to £353£262£1816
    Syria£240 to £353£262£1816
    Venezuela£229 to £353£262£18110
    Costa Rica£241 to £334£263£18112
    Dominican Republic£241 to £334£263£18112
    El Salvador£241 to £334£263£18112
    Iraq£240 to £312£263£18112
    Macau£201 to £291£263£18110
    Panama£241 to £334£263£18112
    Russia£241 to £285£263£1818
    Kuwait£240 to £353£264£18112
    Indonesia£198 to £321£269£15713
    Bahrain£247 to £373£271£18112
    Greece£215 to £321£271£15713
    Ireland£215 to £312£271£13711
    Malta£215 to £285£271£11913
    Turkey£240 to £321£271£18113
    Cyprus£240 to £312£275£14012
    Spain£215 to £321£275£16413
    Thailand£219 to £324£275£16115
    Colombia£229 to £315£278£18112
    Bahamas£244 to £429£279£18111
    Barbados£244 to £429£279£18111
    Bolivia£241 to £353£279£18111
    Cayman Islands£247 to £353£279£18111
    Guyana£241 to £343£279£18111
    Saudi Arabia£247 to £467£279£18111
    Qatar£247 to £416£281£18112
    Taiwan£244 to £324£283£16412
    Japan£251 to £398£291£18113
    Argentina£208 to £317£295£15612
    Belize£244 to £343£295£18112
    Chile£229 to £353£295£18112
    Jamaica£244 to £343£295£18112
    Nicaragua£244 to £343£295£18112
    Paraguay£241 to £334£295£18112
    Peru£241 to £317£295£15612
    Suriname£244 to £343£295£18112
    Uruguay£229 to £334£295£18112
    Guatemala£244 to £334£296£18112
    Cuba£244 to £343£307£1818
    South Korea£247 to £453£307£18112
    Trinidad and Tobago£229 to £353£307£1816
    Israel£249 to £463£312£18111
    United Kingdom£225 to £488£312£18112
    Ecuador£244 to £343£313£18112
    Bermuda£241 to £463£316£18110
    Honduras£247 to £343£316£18112
    Haiti£247 to £343£321£18112
    Canada£279 to £463£326£1599
    Australia£212 to £463£330£16314
    Mexico£291 to £512£336£18112
    New Zealand£243 to £423£339£16313
    Brazil£275 to £512£343£15613
    UAE£279 to £463£368£14413
    Singapore£336 to £596£428£18113
    China£276 to £596£439£18112
    Hong Kong£478 to £609£545£18113

    Method

    On 2026-09-24 we requested quotes through live insurer rate engines for one standard profile in every country: Age 32, inpatient and outpatient, mid tier, worldwide excluding USA, monthly GBP. For each insurer we took the cheapest mid-level plan, then calculated the 25th percentile, median, 75th percentile and cheapest price per country. The USA is excluded because the profile excludes USA cover, and the most and least expensive rankings only include countries with at least 10 insurer quotes. Prices are indicative: the insurer confirms the final premium after underwriting. The full table for every country is on the cost map and in the table above.

    Cite this index

    You may quote individual figures with credit to HealthiNomad and a link to this page. The full dataset may not be copied or republished.

    HealthiNomad Premium Index, September 2026. https://healthinomad.com/health-insurance-cost-index

    Press and data questions: quotes@healthinomad.com.

    Common questions

    How much does international health insurance cost for expats?
    In September 2026, the typical (median) indicative premium for a 32-year-old expat was £247 a month across 176 countries, for inpatient and outpatient cover on a mid-level plan, worldwide excluding the USA. It ranged from £208 in Chad to £545 in Hong Kong.
    Which countries are the most expensive for expat health insurance?
    By median indicative premium at age 32: Hong Kong (£545 a month), China (£439 a month), Singapore (£428 a month), UAE (£368 a month), Brazil (£343 a month).
    Which countries are the cheapest for expat health insurance?
    By median indicative premium at age 32: Chad (£208 a month), Tanzania (£210 a month), Algeria (£212 a month), Angola (£212 a month), Benin (£212 a month).
    Where do these figures come from?
    From real quotes by 14 international insurers, taken through live rate engines on 2026-09-24 for one standard profile, using the cheapest mid-level plan from each insurer. They are indicative: your own price depends on age, health, plan and deductible.
    Can I use these figures?
    Yes. You may quote individual figures with credit to HealthiNomad and a link to this page. The full dataset may not be copied or republished.